Course Registration

Course Name	AL WORKSHOP	Course Fees	Contact US
Place	,	Date
Phone	--	E-Mail

Names *	Name *	Job *	Email *
Nominated by (1) *
Nominated by (2)
Nominated by (3)
Nominated by (4)
Need Visa? *	No Yes	If yes, please choose date
Hotel Reservation *	No Yes	Arrive Date
Applicant info:
Title *
Name *
Company *
Position *
Direct Manger
Address *
City *
Zip Code
Country *
Email *
Phono - Work *
Phone - Mobile *
Fax *
How did you hear about the course? *
Others, Please modify
Payment Type *	Direct Transfer Cheque Receipt Please send a receipt to my corporation.
Notes All transfers should be directed to: Bank Name: Dubai Islamic Bank Dubai- Main Branch Account Name: ILLAFTrain Account Number: 01-520-4418285-01 Swift: DUIBAEAD All applications that do not include payment details will be neglected. Kindly fax or email the bank transfer document. Once the transfer document is received, confirmation will be sent via fax or email. Payment by company cheques or bankers draft must be in UAE Dirhams or US Dollars.